Doctor Name: | JOYCE DAODAO GAVINO |
NPI Number: | 1154742500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 60453 |
Business Practice Address: | 1015 Webber St The Dalles, OR - 970583527 |
Business Phone Number: | 5412962156 |
Business Fax Number: | |
Mailing Address: | 2406 W 10th St, #34 THE DALLES |
State: | OR |
Postal Code: | 970584256 |
Phone Number: | 5419803762 |
Fax Number: | |
NPI Enumeration Date: | 01/01/2014 |
NPI Last Update Date: | 01/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 60453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |